Paul D Loprinzi1, Sara Mahoney2. 1. Bellarmine University, Department of Exercise Science, Donna & Allan Lansing School of Nursing & Health Sciences, Louisville, KY 40205, United States. Electronic address: ploprinzi@bellarmine.edu. 2. Bellarmine University, Department of Exercise Science, Donna & Allan Lansing School of Nursing & Health Sciences, Louisville, KY 40205, United States.
Abstract
BACKGROUND: To our knowledge, no studies have examined the dose-response association between concurrent occurrence of multiple positive health behaviors and depression. As a result, the purpose of this study was to examine the dose-response association between concurrent occurrence of lifestyle behaviors (i.e., diet, physical activity, and smoking) on depression symptoms among a national sample of U.S. adults (20-85 yr). METHODS: Using data from the 2005-2006 NHANES (n=2574), diet was assessed from the healthy eating index variable; physical activity was assessed via accelerometry; smoking was assessed from cotinine levels; and depression was assessed from the Patient Health Questionnaire 9 (PHQ-9). RESULTS: Each lifestyle behavior was independently associated with depression in the expected direction, and there was also evidence of a dose-response relationship. Compared to those having 0 positive lifestyle factors, those with 1, 2, and 3 positive lifestyle factors, respectively, were 15% (p=0.38), 67% (p=0.001), and 82% (p=0.01) less likely to be classifed as having moderate or greater depression symptoms (PHQ-9 ≥10). LIMITATIONS: The main limitation of this study was the cross-sectional design. CONCLUSION: there is a dose-response relationship between concurrent occurrence of positive lifestyle behaviors and depression symptoms.
BACKGROUND: To our knowledge, no studies have examined the dose-response association between concurrent occurrence of multiple positive health behaviors and depression. As a result, the purpose of this study was to examine the dose-response association between concurrent occurrence of lifestyle behaviors (i.e., diet, physical activity, and smoking) on depression symptoms among a national sample of U.S. adults (20-85 yr). METHODS: Using data from the 2005-2006 NHANES (n=2574), diet was assessed from the healthy eating index variable; physical activity was assessed via accelerometry; smoking was assessed from cotinine levels; and depression was assessed from the Patient Health Questionnaire 9 (PHQ-9). RESULTS: Each lifestyle behavior was independently associated with depression in the expected direction, and there was also evidence of a dose-response relationship. Compared to those having 0 positive lifestyle factors, those with 1, 2, and 3 positive lifestyle factors, respectively, were 15% (p=0.38), 67% (p=0.001), and 82% (p=0.01) less likely to be classifed as having moderate or greater depression symptoms (PHQ-9 ≥10). LIMITATIONS: The main limitation of this study was the cross-sectional design. CONCLUSION: there is a dose-response relationship between concurrent occurrence of positive lifestyle behaviors and depression symptoms.
Authors: Keryn L Taylor; Steve Simpson; George A Jelinek; Sandra L Neate; Alysha M De Livera; Chelsea R Brown; Emily O'Kearney; Claudia H Marck; Tracey J Weiland Journal: Front Psychiatry Date: 2018-10-30 Impact factor: 4.157
Authors: Darius A Rohani; Maria Faurholt-Jepsen; Lars Vedel Kessing; Jakob E Bardram Journal: JMIR Mhealth Uhealth Date: 2018-08-13 Impact factor: 4.773
Authors: Jerome Sarris; Russell Thomson; Fiona Hargraves; Melissa Eaton; Michael de Manincor; Nicola Veronese; Marco Solmi; Brendon Stubbs; Alison R Yung; Joseph Firth Journal: BMC Med Date: 2020-11-12 Impact factor: 8.775